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Medicare Medical Director: Utilization & Quality Oversight

Job in Northern, Floyd County, Kentucky, USA
Listing for: Molina Healthcare
Full Time position
Listed on 2026-10-06
Job specializations:
  • Healthcare
    Healthcare Management, Healthcare Consultant, Chief Medical Officer / Medical Director
Salary/Wage Range or Industry Benchmark: 186000 - 363000 USD Yearly USD 186000.00 363000.00 YEAR
Job Description & How to Apply Below
Location: Northern

Molina Healthcare is seeking a Medical Director to oversee medical necessity determinations and utilization management for plan members, ensuring high-quality, cost-effective care across networks and settings.

Responsibilities include leading clinical policy development, coordinating with providers and network managers, and guiding NCQA/URAC accreditation readiness while maintaining regulatory standards and member satisfaction.

Are you ready to take on the Medicare Medical Director:
Utilization & Quality Oversight role at Molina Healthcare?

Consider building your career as a Medicare Medical Director:
Utilization & Quality Oversight at Molina Healthcare.

The Medicare Medical Director:
Utilization & Quality Oversight position in the Bio & Pharmacology & Health, Management & Operations field is open for applications.

We have an opening for a Medicare Medical Director:
Utilization & Quality Oversight in Northern, KY, United States within Bio & Pharmacology & Health, Management & Operations.

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